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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0523952
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COMPLIANCE INFO
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Entry Properties
Last modified
8/7/2025 12:04:22 PM
Creation date
4/25/2023 12:53:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0523952
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0014791
FACILITY_NAME
CANVAS TATTOO (BAMBILLA-SANTOS, MELISSA)
STREET_NUMBER
304
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13708003
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
304 B W HARDING WAY STOCKTON 95204
Suite #
B
Tags
EHD - Public
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"" <br />Body Art InspectieReport <br />Date: <br />3 <br />San Joaquin County Environmental Health Department <br />Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Record: <br />�� 5z:3��� <br />4,• <br />-oR y <br />(209) 468-3420 www.siogv.orq/ehd <br />9 Pro ram <br />Element: <br />) U <br />i r�� <br />Notes: <br />1. The artist signature is missing from client consent forms, and lot numbers are missing from several consent forms. <br />Assure that all records are completed at the time of the procedure. <br />2. The facility no longer uses an autoclave. All equipment is purchased as single use. <br />3. The IPCP was available for review. Consent Form, medical Questionnaire, and After Care have the required <br />information. <br />4. Healthwise Services is used for disposal of sharps waste. Evidence of quarterly pick-ups was available for <br />5/1/2019, 7/5/2019, and 9/4/2019. <br />
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